JobMesh

Denials Specialist

HealthPartners · Saint Paul, Minnesota, US

Park Nicollet is looking to hire a Claims Specialist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experien...

Job description

Park Nicollet is looking to hire a Claims Specialist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. Position Summary: This position ensures that insurance and other 3rd party claims are submitted and/or paid in a timely manner and are compliant with applicable regulations and payer requirements. Specific assignments may include pre-adjudication and/or follow-up, facility and/or professional claims, commercial and/or government payers. Effective performance of these functions helps the organization achieve strong cash flow and maximize patient satisfaction. Required Qualifications: Knowledge, Skills, and Abilities: - Requires strong attention to detail and demonstrated problem resolution skills. - Must be able to effectively communicate verbally and via written documents. - Moderate personal computer proficiency with word processing, spreadsheets and email is required (preference for Microsoft Suite). - Working knowledge of typical office equipment is expected. Preferred Qualifications: Education, Experience or Equivalent Combination: - Experience in a health care reve...